The Arkansas 1818 form is an official application for registration that enables servicepersons and service agencies to perform weights and measures services for commercial devices in Arkansas. This form is governed by Arkansas Code 4-18-308 and requires detailed information about the applicant's qualifications and testing equipment. To ensure compliance and proper registration, it is essential to fill out this form accurately.
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The Arkansas 1818 form serves as a crucial application for registration with the Arkansas Bureau of Standards, specifically designed for servicepersons and service agencies involved in the maintenance and calibration of commercial weighing and measuring devices. This form is essential for those wishing to perform specific weights and measures services, ensuring that applicants meet the required standards set forth by Arkansas law. The application process requires potential registrants to indicate whether they are new applicants or seeking renewal of their registration. It also necessitates the submission of current Certificates of Calibration for all testing equipment used in their services. Furthermore, applicants must disclose their knowledge of the specifications and tolerances outlined in the NIST Handbook 44, as well as provide a list of testing equipment available for use. The form includes sections for personal information, including the service agency's address and contact details, and requires signatures from both the responsible person and a witness. Additionally, applicants must maintain a current list of employed servicepersons and may face revocation of their registration if just cause is established. Overall, the Arkansas 1818 form is a comprehensive document that helps ensure compliance with state regulations while promoting accountability and professionalism within the industry.
FORM 1818 (REV. 8/11/05)
ARKANSAS BUREAU OF STANDARDS
4608 West 61st Street
Little Rock, Arkansas 72209
Phone 501-570-1159 Fax 501-562-7605
APPLICATION FOR REGISTRATION
Application is hereby made under the provisions of Arkansas Code 4-18-308. Requirements for the registration of servicepersons and service agencies for commercial weighing and measuring devices. To perform certain weights and measures services in respect to the competence presented for consideration by the Director.
Please check all that apply:
Scale Service
Meter Service
LPG Meter Service
New Applicant
Renewal
Important Note:
Please attach current Certificate(s) of Calibration for all testing equipment.
Service Agency:
Address:
(Street)
(City)
(State)
(Zip)
Phone:
Fax:
E-Mail Address:
Has the applicant ever been registered as a service agency or serviceperson in Arkansas?
NO YES Reg. No._______
Does applicant have a working knowledge of the specifications and tolerances in NIST Handbook 44? NO
YES
List all testing equipment applicant has in possession or available for use:
NOTICE: Field certification of test measures may not be recognized by other states.
Under agency registration, identification of individual servicepersons is required. Each registered company will maintain a current list of servicepersons employed by them on file with the Arkansas Bureau of Standards. We/I understand the Arkansas Bureau of Standards may revoke the registration for just cause. By signing this application below, applicant agrees to provide the General Code and applicable codes of the most current edition of NIST Handbook 44 to each registered servicepersons listed on the back of this form.
(Signature of Responsible Person)
(Printed Name of Responsible Person)
(Date)
(Signature of Witness)
(Printed Name of Witness)
NOTE: Provide appropriate evidence or references as to applicant’s qualifications by training and/or experience on reverse.
SERVICE: Category A Scales
Category B Scales
Category C Scales
Category D Scales
Do not complete this section
Retail Meters
Reg. Number______
Expiration Date_______
Wholesale Meters
LPG Meters
Scale Expiration Date______________ Reg. Number_________
Date of Calibration of Standards: _____________
Date Certificate Issued: ______________________
Recommendations of Arkansas W & M Official:
________________________________
W & M Official Signature
List Applicant’s experience including dates:
Where:Dates:
Applicant’s Training:
Other qualifications of Applicant:
Servicepersons employed by applicant (NAMES ONLY):
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